Individual
KARINE MIRZOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
10 SHORE BLVD APT 4K, BROOKLYN, NY 11235-4025
(646) 334-4322
Mailing address
10 SHORE BLVD APT 4K, BROOKLYN, NY 11235-4025
(646) 334-4322
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1152066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152066
CERTIFICATE NUMBER
NY
Enumeration date
11/28/2013
Last updated
11/28/2013
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